Active NPI
Sylva Frock, PHD
- Clinical Psychologist
- Huntington Beach, CA
National Provider Identifier
1033206701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 26465
- Practice address
- 600 Main St.
250
Huntington Beach, CA 92648 - Phone
- (214) 729-9797
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 31736 | TX | |
| Clinical Psychologist | 103TC0700X | 26465 | CA | Primary |
Addresses
Primary practice location
600 Main St.
250
Huntington Beach, CA 92648
Mailing address
7682 Juliette Low Dr
Huntington Beach, CA 92647-4176
Phone (214) 729-9797
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161679901 | Medicaid | TX | |
| 86836A | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31736 | TX | MD | Dentist |
| 26465 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1033206701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7682 JULIETTE LOW DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926474176",
"telephone_number": "214-729-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MAIN ST.",
"address_2": "250",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "92648",
"telephone_number": "214-729-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROCK",
"first_name": "SYLVA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "31736",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "26465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161679901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "86836A",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
- Cristina E Freese, L.C.S.W.
- Alejandra Fregoso, DPT
- Haifa Freihat
- Fresenius Medical Care Memorial, LLC (Fresenius Kidney Care Huntington Beach)
- Friedman Professional Management Co (Four Seasons Surgery Centers of Huntington Beach)
- Patrick Richard Frohn, A.T.,C
- FTF Pharmacy Corporation (Beach Professional Pharmacy)
- FTF Pharmacy Corporation (Beach Professional Pharmacy)
- Fu Dental Corp
- Jason Fu, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.